2025 ICD-10-CM code L40.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Papulosquamous disorders Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Guttate psoriasis is a type of psoriasis characterized by small, drop-shaped lesions.
Modifiers may be applicable depending on the specific treatment administered. Consult current coding guidelines for appropriate modifier usage.
Medical necessity for treatment of guttate psoriasis is established based on the severity of the lesions and their impact on the patient's quality of life.Severe cases involving widespread lesions, significant scaling, or intense itching may justify more aggressive treatment approaches.
Diagnosis and management of guttate psoriasis typically involves a dermatologist.This includes assessment of lesion severity, determining the need for treatment, and monitoring treatment response.Treatment options might vary based on severity and may include topical therapies, phototherapy, or systemic medications.
In simple words: Guttate psoriasis is a skin condition causing small, teardrop-shaped red spots or patches. These spots often appear suddenly, sometimes after a strep throat infection. The severity varies, and the spots may come and go.
Guttate psoriasis (L40.4) is a type of psoriasis manifesting as small, drop-shaped, erythematous papules and plaques.These lesions are typically scattered across the trunk and extremities.The onset is often rapid, sometimes following a streptococcal infection. The condition can be acute or chronic, and its severity varies greatly among individuals.
Example 1: A 20-year-old patient presents with numerous small, drop-shaped red spots on their chest and arms, following a recent streptococcal pharyngitis.The dermatologist diagnoses guttate psoriasis (L40.4) based on clinical examination., A 35-year-old patient with a history of guttate psoriasis experiences a flare-up following a period of stress.The dermatologist assesses the severity of the lesions and adjusts the patient's existing topical treatment plan., A 15-year-old patient develops widespread guttate psoriasis. The dermatologist initiates a course of narrowband UVB phototherapy in addition to topical corticosteroids, carefully documenting the treatment plan, response, and any side effects.
Detailed clinical history including recent infections, a description of the lesions (location, size, distribution), photographs of the lesions, and documentation of any prior treatment attempts or existing conditions are essential.
** This code is for guttate psoriasis only.Other types of psoriasis require different codes. Always refer to the most recent ICD-10-CM coding guidelines for accurate coding.
- Payment Status: Active
- Specialties:Dermatology
- Place of Service:Office, Outpatient Hospital, Clinic